Pharm Quiz - Drug Classifications

Front 1

Classifications of medicines that can be used in treatment of anxiety disorders (3)

Back 1

Antidepressants, Benzodiazepines, Barbiturates

Front 2

Neurotransmitters associated w/ depression/anxiety

Back 2

Serotonon -Feelings of wellness

Norepinepherine - Affects Amygdala

Dopamine - Reward driving learning

Front 3

SSRI (5)

Back 3

Lexapro

Zoloft

Paxil

Celexa

Prozac

Front 4

Tricyclic AntiDepressants(4)

Back 4

Nortripyline (Pamelor)

Amitriptyline

Imipramine

Doxepin

Front 5

MAOI (3)

Back 5

Nardil

Parnate

Marplan

Front 6

How do SSRI's work -

Back 6

Sustained Serotonin Reuptake Inhibitors

Slows reuptake of seratonin, flooding next nerve w/ seratonin

Front 7

Seratonin Syndrome

Back 7

Agitation, dihhrea, heavy sweating, fever, hyperreflexive, high fever, shivering, tremors, ataxia

Front 8

How do tricyclic antidepressants work?

Back 8

Blocks seratonin and norepi (-line)

Anticholergic and antihistamine effects. Direct alpha 1 andrenergic blockade, blockade of fast sodium channels in mycardial cells

Front 9

Drug of choice for tricyclic OD

Back 9

Sodium bicarb - 2 postulated theraputic effects

tricyclics are protein bound and become less bound in more aciditic conditions. Sodium helps to reverse the Na blocking effects of TCA

Front 10

Tyramine Containing Food and why they're important to know

Back 10

Tyramine + MAO-i can cause a hypertensive crisis

Aged cheese,sour cream, yogurt

Aged pickled or smoked meats

Yeast extracts

Beer

Red wine

avocados

sauerkraut

ginseng

Front 11

S/S of hypertensive MAO-i crisis

Back 11

Fever, tachycardia, generalize muscle rigidity, tachypnea, metablic acidosis, hypoxemia, hypercapnia

Front 12

What is the antidote medication for a benzodiazepine OD?

Back 12

Flumazenil

Front 13

What is the mainstay drug for bipolar disorder?

Back 13

Lithium

Front 14

Other drugs for bipolar (also anti-seizure)

Back 14

Valproic Acid (Depakote)
Carbamazepine (Tegretol)

Lamictal

Front 15

What is Gabapentin (Neurontin)?

Back 15

anticonvulsant and analgesic

Front 16

What neurotransmitter fosters symptoms of schizophrenia? Too much or too little?

Back 16

Too much dopamine

Front 17

Antipsychotic Drugs are also referred to as ...

Back 17

"Neuroleptics"

Front 18

Define Akathisia

Back 18

movement disorder characterized by restlessness, older antipsychotics can cause akathisa

Front 19

What is tardive dyskinesia?

Back 19

Disorder resulting in involuntary, often repetitive motions

Front 20

What is the treatment for antipsychotic dystonia?

Back 20

benedryl (diphenhydramine) - anticholinergic and antiparkinsonian effects used to treat dystonic reactions caused by antipsychotic

Front 21

TYPICAL v ATYPICAL Antipsychotics

Back 21

TYPICAL (Dopamine) - Haldol, droperidol, mellaril, prolixin, stelazine, thorazine

Atypical (dopamine, serotonin) - Risperdal, Ability, Zyprexa, Seroquel

Front 22

Somatic V Visceral Pain

Back 22

Both nociceptive pain

Somatic - Sharp, localized (uusally muscular)

Viscreal Pain - dull, throbbing, aching "organ pain"

Front 23

Qualitites of neuropathic pain

Back 23

Injury to nerves - Burning, shooting, numb

Front 24

Treatment for opiod OD w/respiratory compromise

Back 24

naloxone HCL (Narcan)

Front 25

What is Buprenorphine (Suboxone, Buprenex)

Back 25

Used to tread opiod addictions. . Mixed agonist/antagonist opioid receptors

Front 26

What is methadone used for ?

Back 26

Narcotic substitute, treatment of opiod addictions

Front 27

Biggest concern w/Acetaminophen overdose?

Back 27

Hepatic damage, renal failure

Front 28

Biggest concern w ASA OD

Back 28

Metabolic acidosis

Front 29

Parkinsons Disease is caused by a *LACK* of ...?

Back 29

Dopamine

Front 30

Trigeminal neuraligia - Define? Often seen w/?

Back 30

Multiple Sclerosis. Chronic pain, myokymia

Front 31

Which five conditions are treated w diuretics?

Back 31

HTN, Heart Failure, Kidney Failure,

Liver failure and cirrhosis, pulmonary edema

Front 32

IM / SC Needles / Amounts Absorbed

Back 32

IM Delt 2mg, butt 5mg 22-25ga 1-1.5"

SC 23-25g, 5/8th"

Front 33

SSRI Anti-Depressants(5)

Back 33

Lexapro, Zoloft, Paxil, Celexa, Prozac

Causes lots of serotonin in junctions

Front 34

Tricyclic Antidepressants (4)

Back 34

Nortripyline

Amitryptyline

Imipramine

Doxepin

Anticholiergic, A1 blocker, sodium channel blocker (sodium channel=most lethal s/e)

Front 35

MAOI (3)

Back 35

Nardil, Parnate, Marplan (Anti-Anxiety)

Front 36

Benzodiazepine (6)

Back 36

Ativan, Xanax, Librium, Restoril, Fulazapam, Prosom

Increase GABA, inhibits cellular excitement

Front 37

Barbiturates(2)

Back 37

Phenobarbitol, Seconarbital (Increase GABA)

Front 38

Anti-Convulsants, Bi-Polar (5)

Back 38

keppra, Lamictal, Dilantin, Valproic acid (Depakote), Tegretol

Front 39

SNRI Anti-Depressants (2)

Back 39

Pristiq, Cymbalta

Front 40

Loop Diuertics

Back 40

Bumex, Lasix (black Na reabsorption)

Front 41

ACE Inhibitors

Back 41

Accupril, Ramipril, Catporil

Front 42

Calcium Channel Blockers (5)

Back 42

Norvasc, Cardene, Procardia, Cardezem, Verapamil

Hypertension/Arythmias

Front 43

Beta Blockers

Back 43

-olol. Metoprolol, acebutolol, labetalol

Front 44

Cardiac Glycoside

Back 44

Digoxin (ionotropic affect)

Front 45

Anti-coagulants(2)

Back 45

Warfarin, Heparin

Front 46

Anti-Cholinergic (asthma)

Back 46

Spiriva and Atrovent

Front 47

Antacids

Back 47

Tagament, Pepcid, Zantac

Front 48

Diabetic Meds

Back 48

Diabinese, Glipizide, Glyburide (Stimulate B to create insulin)

Metformin - helps use insulin better

actos and avandia body makes less sugar

Front 49

AntiPhosphdiesterase - ED meds

Back 49

-fil

tadalafil, Vardenafil, Sildenafil